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Individual

WARSAME WARSAME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1115 45TH AVE NE, COLUMBIA HEIGHTS, MN 55421
(763) 310-4079
Mailing address
1115 45TH AVE NE, COLUMBIA HEIGHTS, MN 55421
(763) 310-4079

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
02/03/2016
Last updated
02/03/2016
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